Clinico-radiological Profile of Stroke in Western Nepal
Journal Title: Journal of Lumbini Medical College - Year 2016, Vol 4, Issue 2
Abstract
Introduction: Stroke is a major public health burden worldwide and is responsible for a large proportion of disability. It ranks third in the causation of morbidity and mortality. This study was carried out to establish the pattern of various types of cerebrovascular accident (CVA) in western Nepal, to correlate the clinical data and radiological findings in cases of stroke, and to identify the common risk factors associated with stroke. Methods: A total of 200 patients presented at the department of Radiodiagnosis from emergency or ward within six months of study period from 18th of September 2015 to 17th of March 2016 with clinical diagnosis of stroke. Brain CT scan was done within 14 days of onset. Results: There were 200 patients with stroke (124 males and 76 females), aged 19 to 92 years in which infarction was more common than hemorrhage (57% Vs 41.5%) clinically. Hypertension was the commonest risk factor noted in 59% cases followed by Diabetes Mellitus in 39%. Middle cerebral artery (MCA) territory infarction was the most common site of infarction. Clinical and CT localization of hemorrhage and infarct was correct in 153 cases (75%) which was statistically significant. Conclusion: Infarction is more common than hemorrhage as the type of stroke. Hypertension is the commonest risk factor followed by diabetes mellitus.
Authors and Affiliations
Sumnima Acharya, Awadesh Tiwari, Raju Shakya
Keywords
Related Articles
- EP ID EP176442
- DOI 10.22502/jlmc.v4i2.91
- Views 111
- Downloads 0
Vacuum Assisted Vaginal Delivery in Singleton Term Pregnancies: Short Term Maternal and Neonatal Outcome in a Tertiary Hospital of Nepal
Introduction: Other than cesarean delivery, assisted vaginal delivery is an alternative procedure for delivery in emergency obstetrics. Presently, vacuum delivery has gained more popularity than forceps for operative/ as...
Bicondylar Angle and its Relation with Length and Neck Length of Human Femur
Introduction: Femoral bicondylar angle has immense importance from anatomical and clinical (forensic and anthropometric) point of view and is the characteristic feature of bipedal gait in humans. It is the angle between...
Effectiveness of Same-Day Human Ear Wax Removal as an Office Procedure and Factors Associated with its Successful Removal
Introduction: There are various methods of ear wax extraction and there are no specific guidelines on this subject. Many times we ask patients to instil some wax softening product for a few days and revisit for wax remov...
First Line Treatment of Meniere’s Disease: A Randomized Controlled Trial
Introduction: There is no consensus on the first line medical treatment of Meniere disease to produce symptomatic improvement and slow the disease progress. Dietary salt restriction, diuretics, and vasodilators like beta...
Knowledge and Practice of Self-medication among Undergraduate Medical Students
Introduction: Self-medication is an important aspect of self-care. It is a common practice in society and medical students are no exception. The aim of this study was to explore the knowledge and practice of self-medicat...